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1861765992
MARK STEVEN NELSON
BURLEY, ID
NPI
1861765992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-31713)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- MARK STEVEN NELSON LMSW
2311 PARK AVE UNIT 2 SUITE 8
BURLEY, ID 83318-2170
Phone number: 208-878-3350
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Mailing Address
-- MARK STEVEN NELSON LMSW
238 AVENIDA DEL RIO DR
TWIN FALLS, ID 83301-9276
Phone number: 208-733-9799
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